Izifo ze-reflux-esophagitis, iimpawu kunye nonyango, amayeza afundiswa kakuhle, kuba le ngxaki ixhalabisa izigulane ezininzi. Esi sifo sisifo se-mucosa. Ivela kwimvelaphi yokukhangela ngokukhawuleza okanye kwindlela yokusebenza kwisigcaziso seesisu okanye emathumbu.
I-reflux esophagitis - yintoni na?
Le yenye yezifo eziqhelekileyo. Kukho isifo se-reflux-esophagitis, iimpawu kunye nokunyangwa kwazo kwiimeko ezahlukeneyo ezingafaniyo, xa kukho uqhagamshelwano oluchanekileyo lwe-mucosa ye-esophagus kunye nokuqukethwe kwesisu okanye isisu. Esi sifo sikhokelela ekunyuseni okunamandla kwi-acidity. Ngenxa yoko, i-mucosa ye-esophagus ichaphazeleka kwaye iimpawu eziphambili zibonakala. Njengomthetho, i-reflux esophagitis ibonakalisa ngeempawu ezifana nokuguquka, ukukhathazeka kunye nezinye iziphazamiso zesistim sokutya.
I-Catarrhal reflux-esophagitis - yintoni na?
Ifomu engafanelekanga yesifo sifumaneke kwiimeko ezininzi. I-Catarrhal reflux-esophagitis - yintoni na? Esi sifo sibonakalisa ngendlela efanayo nezinye iifom zayo, kodwa phezulu kwayo, i-mucosa ye-esophagus iyahluma. Kwimeko ye-reflux-esophagitis, iimpawu kunye nonyango ziyahlukahluka kuxhomekeke kwinqanaba lophuhliso. Kodwa kwiimeko ezininzi, kunye ne-edema ephawulekayo, i-hyperemia iyafumaneka kwakhona. Yonke imiqondiso yenkinga ibonakaliswe ngenxa yomsebenzi ongenayo umsebenzi we-cardiac sphincter kwi-esophagus kunye nomonakalo owenzela umonakalo.
I-reflux esophagitis enobungozi - yintoni na?
Olunye uhlobo oluqhelekileyo lwesifo. I-reflux-esophagitis enobungozi - yintoni uhlobo lwesifo, kucacile kwigama layo. Ubonakaliswa yilonda elibi le-mucosa - liba ludumale, lugubungele, lugubungelelaniso oluncinane, i-microabscesses, i-cysts. Kwimigangatho yokuqala kwilonda ayilunye. Kodwa ukuba eso sifo singaphathwa, indawo ye-lesion ye-mucosa ikhula, kwaye emva kwexesha iya kuvela kwisilonda se-esophagus.
I-distal reflux esophagitis - yintoni na?
Ingxaki ikhula xa izinto ezivuthayo ziqhutywe kwi-esophagus. Ukuze uqonde i-refalx distal, yintoni na, unokucinga ukuba udonga luwela njani kwindawo apho i-hammer iqhuma khona rhoqo. Ngokufanayo, i-mucosa ye-esophagus inokulimala kwicandelo elingaphantsi (xa yonke indawo ichaphazelekayo, i-RE iyifumene) kwindawo yokungenisa ukutya okunomdla.
I-reflux-esophagitis yeBiliary - yintoni na?
I-Pathology nayo ibangela ukuvuvukala kwi-mucosa. I-reflux-esophagitis ye-Biliary isetyenziswe xa ukucaphukisa kuqalisa ngenxa yokuchazwa kweziqulatho ze-bile kwi-mucosa ye-esophageal. I-bile iqukethe i-acids acids. Bakhokelela ekulimaleni, ukuvutha kunye nezinye iinguqu ezonakalisayo.
I-reflux-esophagitis-degree
Iqondo apho iimpawu ze-reflux-esophagitis zibonakalisa ngokucacileyo, kwaye unyango olusetyenziselwa ukuluqeda, luxhomekeke kwisantya sokuphuhliswa kwesifo. Ukwahlula ngamazwe ngamazwe kuthatha ukwahlula kwiinqanaba ezinjalo:
- I-reflux-esophagitis i-degree 1 ifunyaniswa xa ububanzi be-mucosa obuchaphazelekayo abugqithisi ngaphezu kwee-4,5 millimeters. Iingxaki zolu buninzi zingabininzi, kodwa akufanele zihlangane kunye.
- Kwinqanaba lesibini lesi sifo, iinkalo ezininzi zeengxaki ezinomlinganiselo we-5 mm zifumaneka kwi-mucosa ye-esophageal. Izilonda ziyakwazi ukudibanisa, kodwa ungahlali kuyo yonke indawo.
- Ukuba i-mucosa ye-esophageal iyonakaliswa ngaphantsi kwe-¾, ngoko isifo siphuhlisiwe kwisigaba sesithathu.
- Ngomlinganiselo we-reflux-esophagitis wesine, umonakalo uthatha iipesenti ezingama-75 okanye ngaphezulu kwendawo yonke. Kwezinye iimeko isilonda esingapheli sinokufunyanwa ngethuba leemviwo.
I-Reflux-esophagitis - izizathu
Ngaphambi kokuba uqale ukuxilonga i-reflux esophagitis, iimpawu kunye nonyango ehluke kwiimeko ezahlukeneyo, kuyimfuneko ukuqonda ukuba kutheni ingxaki ibonakala. Isizathu esibalulekileyo kukuphazamiseka kwesiphincter esezantsi. Ngenxa yokuba ithoni yakhe ye-muscle iyancitshiswa kakhulu, uhlala evulekile - ngokukodwa okanye ngokupheleleyo. Ngenxa yoko, iziqulatho zesisu zingakwazi ukufikelela kwi-esophagus.
Njengomthetho, i-reflux esophagitis enobuhlungu okanye engapheliyo ivela kwimvelaphi ye:
- ukugqithiswa kwamanzi;
- yetyhefu;
- uxinzelelo olungakumbi kwi-peritoneum;
- i-hernia yokuvulwa kwe-esophageal yesithintelo;
- gastritis ;
- ukunyanya;
- nokunciphisa ukunyuka;
- ukungondleki;
- izilonda zesisu kunye nezilonda zomzimba;
- ukutshaya;
- ukusetyenziswa kakubi kotywala;
- khulelwa;
- ukusetyenziswa kakhulu kwekhofi, i-tshokoleta, iziqholo.
I-Reflux-esophagitis - iimpawu
Kubalulekile ukubazi, kuba ngaphambili i-reflux-esophagitis, iimpawu zayo, iya kugqitywa, kwaye unyango luya kuqala, ukuphakama kwamathuba okuphumelela kweyeza. Yonke imiqondiso yesifo ingahlulwa ngokwemimiselo ibe yi-esophagusal and esophageal. Ezi zilandelayo ziquka:
- ukupheka kwentliziyo rhoqo, okwenzekayo, njengokulawula, emva kokutya okufutshane;
- ukubethelela ngesinambitheki esimnandi, esivame ukushiya umvakalelo we "coma emqaleni";
- ubuhlungu kwisithuba sangasese;
- bunzima esiswini;
- ukucima;
- ukuphosa ama-residu angadliyo emlonyeni.
Kwiimpawu ze-reflux esophagitis kufuneka zihlawule ingqalelo ekhethekileyo. Ezinye zazo zingabonakala zihambelana ngokupheleleyo nezifo zesigxina sesisu, kodwa zikhomba kwi-RE:
- Izigulane ezininzi ezinokugqabhuka kweso sifo zikhalaza ngokubonakala kweemvakalelo ezingathandekiyo, ezifana nokutshiza, ukutshisa, umqala. Kwiimeko ezininzi, iimpawu ezinjalo zivela kwizifo ze-pharynx. Xa i-reflux, iyakwazi ukuvela ngenxa yokusila ukutya okungagqitywanga ngokupheleleyo, kungekhona kuphela kwisigxina, kodwa iphinda iphezulu emqaleni.
- Isikhumba nge reflux-esophagitis - into engalindelekanga, kodwa eqhelekileyo. Abanye bayamkela ngephutha le mpawu ukubonakaliswa kwe-bronchitis. Ukudibanisa kunye nokuhlaselwa kokuxhatshazwa ebusuku. Kodwa ukuba "i-asthma" okanye "i-bronchitis" ihamba kunye nezibonakaliso zezifo ze-GIT, kuyafaneleka ukuba zivele kwi-gastroenterologist.
- Iintlungu zentliziyo nazo zibonakalisa ukuvuvukala kwe-mucosa ye-esophageal. Kungenxa yoko, iingcali zincoma ukuba xa kuvezwa intlungu engqondweni yabo baqhuba uviwo olupheleleyo lomzimba.
- Izimpawu ezinokwenzeka zibandakanya i- caries kunye nokutshatyalaliswa koqweqwe lwezinyo, ezenzeka ngokusuka kwimvelaphi yokutshala ixesha elide kumazinyo e-hydrochloric acid.
I-Reflux-esophagitis - unyango
Unyango olusebenzayo kakhulu lubonwa ngokuba luqaliswe kumanyathelo okuqala okanye ngexesha lokuxhatshazwa. Ekubeni ukunyanga kwe-reflux esophagitis akunakwenzeka ngokupheleleyo, kuyinqweneleka ukuthatha amanyathelo emva kokubonakala kweempawu zokuqala - ukuyeka ukuphuhliswa kwesi sifo, kude kube yingozi kumonakalo. Emva kokuphumelela ukuxolelwa ngokuzinzileyo, izigulane ezininzi zikholelwa ukuba ugula luphelile kwaye luyeke ukunamathela kwiingcebiso. Musa ukwenza oku, kuba isigulo singaphinda siphinde sicinge ngendlela yokuphatha i-reflux esophagitis, kuya kufuneka kwakhona.
I-Reflux-esophagitis - unyango, iziyobisi
Kukho imirhumo emininzi yokwelapha, kunye nokuqala unyango lwe-reflux esophagitis, eyona ndlela isebenzayo kakhulu ichongiwe yinkwenkwezi. Ukhetho lwenziwe ngokweenkqubo:
- Unokuphathwa ngonyango elinye, kodwa le cwangciso alinakucinga iqondo lokutshintshwa kwezicubu kwaye kwiimeko ezininzi zibhekwa njengona ncinane.
- Ukomeleza unyango luya kuba neziqhamo. Umgaqo wayo oyintloko kukumisela iziphumo ezahlukeneyo zamachiza kwizigaba ezahlukeneyo zokuvuvukala. Utyando lubandakanya ukutya kunye ne- antacids . Ukuba enye inhlanganisela yeziyobisi ayinakwenzeka, ugqirha uzama enye.
- Ukunyanga izigulane nge-reflux enamandla, i-block blockers echanekileyo isetyenzisiweyo, ezithatyathwa ngu- prokinetics obuthathaka, xa iimpawu ezixhasayo.
Uninzi lweengcali zibhekisela kumayeza anjalo:
- Pantoprazole;
- Roxatidine;
- Rabrazole;
- Famotidine;
- Esomeprazole;
- Gastal;
- Maalox;
- Rennie;
- Phosphalugel;
- Ranitidine;
- Almagel;
- Gaviscon.
Unyango lwe-reflux-esophagitis kunye nezilwanyana zomntu
Kukho iindlela zokulwa neengxaki kwezinye iyeza. Kodwa unyango lwe-reflux-esophagitis kunye nezilwanyana zithatha kuphela ukungabikho kweengxaki. Ngaphambi kokusebenzisa le okanye iresiphi, kungcono ukubonisana neengcali. Eyona nto ingenabungozi, kodwa amayeza asebenzayo ayinxalenye yezityalo:
- i-ash ash;
- dandelion;
- isinki;
- plantain;
- blackberry;
- dill.
Unyango lwefloxx ye reflux
Izithako:
- imbewu yefelk - 2 tbsp. l.;
- Iintyatyambo ze-chemist's daisy - 2 tbsp. l.;
- Leonurus - 1 tbsp. l.;
- ingcambu ye-licorice - 1 tbsp. l.;
- i-lemon balm - 1 tbsp. l.;
- amanzi - 0.2 ilitha.
Ukulungiselela nokusetyenziswa:
- Ubilise amanzi.
- Hlanganisa zonke izithako kwelinye isitya kwaye uthele amanzi abilayo.
- Kwiiyure ezimbalwa, xa ukuqokelela kungeniswa, cima.
- Thatha amaxesha amane ngosuku ngemitha ye-1/3 yokunciphisa u-asidi kunye nokunciphisa ukuvutha.
Ukutya kunye ne-reflux esophagitis
Isondlo esifanelekileyo kwizifo zendlela yokugaya inyama zibaluleke kakhulu. Kuya kunceda ukumisela imeko kwimeko ye-RE. Iingcebiso ezimbalwa ziza kukhawuleza ukuxolelwa kwaye zilumkise ukuphindaphinda:
- Ngaphambi kokutya, sisela iglasi yamanzi esele.
- Ukutya kuyimfuneko yecandelo elincinci. Iingxenye zithatha incinci. Yidla kufika kumaxesha angama-6 ngosuku.
- Kuyinto enqwenelekayo ukula utywala ngokupheleleyo. Kodwa ukuba oko akunakwenzeka, ke ubuncinane uzame ukungayisebenzisi kwisisu esingenalutho.
- Emva kokutya, awukwazi ukulala. Kungcono ukuhlala okanye ukuhamba ukuhamba.
- Ungadli ebusuku.
Ukusuka kwimenyu kunye ne-reflux-esophagitis kuyimfuneko ukukhuphela:
- ngamanqatha;
- ukutshaya;
- lumnandi;
- usawoti;
- soda;
- ikhofi.
Faka ukutya okufanayo kwi-reflux esophagitis kufuneka:
- ibhanana;
- ipayipi;
- kefir;
- i-cottage cheese;
- peaches;
- peyari;
- udibanise (ukususela kumlenze we rose okanye izithelo ezomileyo);
- yogurts.
I-reflux-esophagitis - unyango okhuselweyo
Olu hlobo lonyango luvunyelwe kwakhona. Kodwa ngo-reflux-esophagitis, ukusebenza kusekwe kuphela kwiimeko xa iindlela zokuzithemba zingaphumeleli, kwaye ukugula kuyaqhubeka nokuphuhlisa. Izibonakaliso zokuhlinzwa zisajongwa njengenkqubo enzima yesifo - ngegazi, izilonda, i-dysplasia ye-epithelial - kunye nobukho be-hernia yokuvulwa kwe-esophageal ye-diaphragm.